13.7 - Gestational pathology

Question 1

what is the key risk factor for ectopic pregnancy?

Answer 1

scarring (fallopian tube)

Question 2

when / how does placenta previa present?

Answer 2

3rd trimester bleeding

Question 3

what drug can cause placental abruption?

Answer 3

cocaine

Question 4

placenta accreta is improper implantation of placenta into the _______________ with little or no intervening decidua

Answer 4

myometrium

Question 5

what is HELLP syndrome?

Answer 5

preeclampsia with:

• hemolysis
• elevated liver enzymes
• low platelets

Question 6

what are the genetics of a partial mole?

Answer 6

69 chromosomes (normal ovum fertilized by two sperm)

Question 7

what are the genetics of a complete mole?

Answer 7

46 chromosomes (empty ovum fertilized by two sperm)

Question 8

which hydatidiform mole has fetal tissue?

Answer 8

partial

Question 9

which hydatidiform mole has diffuse hydropic villous edema?

Answer 9

complete

Question 10

which hydatidiform mole carries a risk for choriocarcinoma?

Answer 10

complete

Question 11

a hydatidiform mole is an abnormal conception characterized by swollen and edematous villi with proliferation of ______________

Answer 11

trophoblasts

Question 12

what is the treatment for hydatidiform moles?

Answer 12

suction curettage and B-hCG monitoring

Question 13

choriocarcinomas that arise from the ____________ (gestational / germ cell) pathway respond well to chemotherapy; those that arise from the ______________ (gestational / germ cell) pathway do not

Answer 13

• gestational

- germ cell